Robert Jerome Fleming, PA-C
NPI 1477214864ActiveIndividual· Physician Assistant· Chesterfield, MO
Physician Assistant (PA-C) in Chesterfield, Missouri, trained at Saint Louis University School of Medicine (class of 2022). Their prescriptions cost Medicare Part D more than their services did: $31,467 for 652 claims, against $7,852 paid for services in 2024. Abbvie Inc. was the largest of 18 companies reporting payments in 2025, $532.46 in all, mostly food and beverage.
Overview
| NPI | 1477214864 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 6, 2022 |
| Last updated in NPPES | Sep 1, 2026 |
| Certified by provider | Sep 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2023016576 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 107 across 16 procedure codes |
| Paid by Medicare | $7,852 |
Part D prescriptions in 2024
| Prescriptions (claims) | 652 · 903 30-day fills |
|---|---|
| Patients | 233 |
| Total drug cost | $31,467 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Industry payments (Open Payments)
- 2025$532.46 · 28 payments from 18 companies
- 2024$195.63 · 11 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $77.67 | 4 |
| Xeris Pharmaceuticals, Inc. | $63.20 | 3 |
| Novo Nordisk Inc | $51.69 | 3 |
| Boston Scientific Corporation | $34.26 | 1 |
| Dexcom, Inc. | $32.88 | 2 |
What the 2025 payments were for
- Food and Beverage$532.46 · 28 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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